Alex Lee Ballou, LPN is a
Licensed Practical Nurse based in Bis Stone Gap, Virginia. Alex Lee Ballou is licensed to practice in Virginia (license number 0002059856) and her current practice location is
3169 Second Ave E, Bis Stone Gap, Virginia. She can be reached at her office (for appointments etc.) via phone at
(276) 523-8300.
NPI number for Alex Lee Ballou is 1275671554 and her current mailing address is Po Box 9054, Gray, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275671554.
Provider's Profile
Full Name | Alex Lee Ballou |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 3169 Second Ave E, Bis Stone Gap, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275671554
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Alex Lee Ballou such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275671554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 0002059856 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alex Lee Ballou is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alex Lee Ballou, LPN Po Box 9054, Gray, TN 37615-9054 Ph: (423) 467-3600 | Alex Lee Ballou, LPN 3169 Second Ave E, Bis Stone Gap, VA 24219 Ph: (276) 523-8300 |
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